中国68所综合医院医院感染的经济损失研究

目的评价我国综合医院医院感染所致直接经济损失。方法抽取综合医院68所，回顾性调查2015年1月1日—12月31日68所医院医院感染与非医院感染病例，采用1︰1匹配的方法进行配对，比较医院感染与非医院感染患者直接医疗费用。结果共纳入2 123对医院感染与非感染病例，医院感染组平均住院总费用为25 845.30元，非医院感染组为12 006.14元，医院感染直接导致住院费用增加13 839.16元。省部级医院医院感染所致直接经济损失较多（21 409.83元）。不同地区医院感染所致直接经济损失为9 725.42～18 909.59元，其中华北地区直接经济损失最多。血流感染、下呼吸道感染所致直接经济损失较大，分别是23 190.09、18 194.50元。结论医院感染导致较大直接经济损失，应进一步加强医院感染，尤其是血流感染、下呼吸道感染的防控工作。

Economic loss due to healthcare associated infection in 68 general hospitals in China

ObjectiveTo explore the direct economic loss caused by healthcare associated infection(HAI) in general hospitals in China. Methods68 hospitals were selected, a retrospective 1:1 matched survey was conducted to compare the direct medical cost in patients with and without HAI between January 1, 2015 and December 31, 2015. ResultsA total of 2 123 pairs of patients with and without HAI were included in the survey. The average cost of hospitalization in HAI and non HAI groups were ￥25 845.30 and ￥12 006.14 respectively, ￥13 839.16 on average was increased due to HAI. The average economic loss in provincial and ministerial levels of hospitals were ￥21 409.83. The average economic loss in different regional hospitals were ￥9 725.42-￥18 909.59, and north China ranked the first. Economic loss caused by bloodstream infection and lower respiratory tract infection were more than other sites, which were ￥23 190.09 and ￥18 194.50 respectively. ConclusionHAI resulted in considerable direct economic loss. Prevention and control of HAI, especially bloodstream infection and lower respiratory tract infection should be paid more attention.